2811 Hwy 64E Davie County,NC Tax Parcel Report Friday, December 16, 2016
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WARNING: THIS IS NOT A SURVEY
Parcel Number: J700000070 Township: Fulton
NCPIN Number:: 5767794279 Municipality:
Account Number: 8303477 Census Tract: 37059-804
Listed Owner 1 ORSILLO KENNETH M Voting Precinct: FULTON
Mailing Address 1 2811 US HIGHWAY 64 EAST- Planning Jurisdiction: Davie County
City: MOCKSVILLE Zoning Class: DAVIE COUNTY R-A,R-20,H-B .
State: NC Zoning Overlay:
Zip Code: 27028 Voluntary Ag.District: No
Legal Description: 3.689 AC TRACT 1 HWY 64 Fire Response District: FORK
Assessed Acreage: . - 3.59 Elementary School Zone: CORNATZER
-Deed Date:: - 5/2014 . Middle School Zone: WILLIAM ELLIS
Deed Book/Page:' 009570723 Soil Types: PcB2,PcC2
Plat Book: 0010 Flood Zone:
Plat Page: 152 Watershed Overlay: DAVIE COUNTY
Building Value: Outbuilding&Extra
Freatures Value:
Land Value: Total Market Value:
Total Assessed Value:
pV� All data Is provided as is without warranty or guarantee of any kind either expressed or Implied Including but not limited to the
9" Davie County, implied warranties of merchantability or fitness for a particular use.All users of Davie County's GIS website shall hold harmless the
County of Davie,North Carolina,Its agents,consultants,contractors or employees from any and all claims or causes of action due to
�obcl'� NC or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT ":
s'. 'IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
- *NOTE:Issued in Compliance With Article II of G.S.Chapter 1306 Z Ofd
/Sanitary/Sewa a Systems ; �,9
/ Permit Number�, ;.
f /l,rfiT ,,� ei1ted"' /1 7' lk=* L
Name v Date ,�'Ile� ND 6 8.5 3
%'
Locati
Subdivision Name Lot No. Sec. or Block No.
Lot Size House Mobile Home Business -- Speculation
No. Bedrooms No. Baths No. in Family
—
Garbage Disposal YES ❑ NO ❑'' Specifications for System:
Auto Dish Washer YES TNO ❑ / l'Dr /,, ' ,
Auto Wash Ma-.hive YES NO ❑
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Type Water Supply
*This permit Void if sewage system described below is of installed within 5 years from date of issue.
This permit is subject to revocation if site plans o the i tended use change.
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Improvements permit by _�� `
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number 704-634-5985.
Final Installation Diagram: System Installed bye"^" r
'fit)
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U
Certificate of Completion Date
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
APPLICATION FOR SITE EVALUATION/IMPROVEMENTS PERMIT
Davie County Health Department t��r- ,
Environmental Health Section R 77 C.lF E®
P. O. Box 665 -J U L 1 31992
Mocksville, NC 27028
---------------
1. Application/Permit Requested By
Mailing Address
Home Phone Cal�g� ���' 7 Business Phone `
2. Name on Permit if Different than Above
3. Application/Permit for: ❑ General E=obile
Septic Tank Installation
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4. System to Serve: ❑ House Home ❑ Place of Public Assembly
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❑ Business ❑ Industry ❑ Other ❑ Unknown
5. If house, mobile home: Subdivision Section Lot #
❑ Basement/Plumbing
No. of People ❑ Basement/No Plumbing
No. of Bedrooms ❑ Washing Machine
No. of Bathrooms ❑ Dishwasher
Dwelling Dimensions /— 7 ❑ Garbage Disposal
6. If business, industry, place of public assembly, other: Specify type
No. of People Served No. of Sinks
No. of Commodes No. of Urinals
No. of Lavatories No. of Water Coolers
No. of Showers Water Usage Figures
7. Type of water supply: Public ❑ Private ❑ Community
8. Property DimensionsSewage Disposal Contractor
9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes "o
If yes, what type?
*NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to
revocation, if site plans or the intended use change. Effective October 1, 1989.
Directions to Property:
0
This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges
incurred from this application.
DATE SIGNATURE
CONSENT FOR SITE EVALUATION TO BE DONE ON ABOVE DESCRIBED PROPERTY
Fandd
ECK ONE: ❑ 1. 1 OWN the property. 2. 1 DO NOT OWN the property.
ked Box #2, the rest of this form MUST be completed by the owner or a person authorized by the owner:
ve consent to the authorized representative of the Davie County ealt Dep `rt�n�nt to eq�er uppn,above described
cated in Davie County and owned by S�y!/ � c G� �I�NC�'�l X
all testing procedures as necessary to determine said site's suitability for a ground absorption sewage treatment
al system. P
DATE 64GNATURE
DCHD(12-90)
s ►
• DAVIE COUNTY HEALTH DEPARTMENT
Environmental Health Section
Soil/Site Evaluation
NAME ✓�hL'✓5/ DATE EVALUATED
ADDRESS PROPERTY SIZE
PROPOSED FACIILTY LOCATION OF SITE � .
Water Supply: On-Site Well Community Public
Evaluation By: Auger Boring Pit Cut
FACTORS 1 2 3 4
Landscape position L L e L
Sloe %
HORIZON I DEPTH
Texture group
Consistence
Structure
MineralogX
HORIZON II DEPTH -9.F-,-
Texture group ,
Consistence _
Structure
Mineralogy /.-
HORIZON III DEPTH
Texture group
Consistence
Structure
Mineralogy
HORIZON IV DEPTH
Texture group
Consistence
Structure
Mineralogy
SOIL WETNESS
RESTRICTIVE HORIZON
SAPROLITE
CLASSIFICATION
LONG-TERM ACCEPTANCE RATE rl
SITE CLASSIFICATION: EVALUATED BY:
LONG-TERM ACCEPTANCE RATE: OTHER(S) PRESENT:
REMARKS:
LEGEND
Landscape Position
R-Ridge S-Shoulder L-Linear slope FS-Foot slope N-Nose slope
CC-Concave slope CV-Convex slope T-Terrace FP-Flood plain H-Head slope
Texture
S-Sand LS-Loamy sand SL-Sandy loam L-Loam SI-Silt
SICL-Silty clay loam, SIL-Silty loam CL-Clay loam SCL-Sandy clay loam,
SC-Sandy clay SIC-Silty clay C-Clay
CONSISTENCE
Moist
VFR-Very friable FR-Friable FI-Firm VFI-Very firm EFI-Extremely firm
Wet
NS-Non sticky SS-Slightly sticky S-Sticky VS-Very Sticky
NP-Non plastic SP-Slightly plastic P-Plastic VP-Very plastic
Structure
SC-Single grain M-Massive CR-Crumb GR-Granular ABK-Angular blocky
SBK-Subangular blocky PL-Platy PR-Prismatic
Mineralogy
1:1, 2:1, Mixed
Notes
Horizon depth - In inches
Depth of fill - In inches
Restrictive horizon- Thickness and inches from land surface
Saprolite - S(suitable), U(unsuitable)
Soil wetness - Inches from land surface to free watef or inches from land surface to soil colors
with chroma 2 or less
Classification - S(suitable), PS(provisionally suitable), U(unsuitable)
LTAR - Long-term acceptance rate - gal/day/ft2
DCHD(01-901
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